Leiomyomatosis peritonealis disseminata after hysteroscopic myomectomyLeiomyomatosis peritonealis disseminata (LPD) is a rare condition of women in the reproductive age, being characterized by multiple subperitoneal nodules of benign smooth muscle. A case of LPD after hysteroscopic myomectomy is reported.A 21-year-old woman presented at the emergency department with left iliac fossa pain. Imaging features revealed a large intra-abdominal mass comprising multiple solid nodules. Post­operative histopathological investigation of the peritoneal nodules confirmed the diagnosis of LPD. Only a few months before, the patient underwent a hysteroscopic resection of a large intra-uterine leiomyoma. This case suggests that a subset of cases of LPD may be secondary to transcoelomic dissemination of a primary uterine leiomyoma rather than to de novo peritoneal metaplasia. Hence, LPD should be considered in the ­differential diagnosis of multiple peritoneal masses in patients with a previous hysteroscopic myomectomy.